101427(h) · Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant. An infant shall not be allowed to carry a bottle while ambulatory. A bottle given to an infant able to hold his/her own bottle shall be unbreakable. The directror stated that since they became aware that the practice of propping a bottle in an infnat's mouth is unsafe and not within compliance, the facility has ceased this practice and always holds a bottle in an infant's mouth when feeding. A written statement will be submitted to LPA confirming this information, by 12/23/22. The above was not met as evidenced by

Based on interviews with staff, it was determined that on occasion staff prop bottles in an infnats mouth when feeding them. This is a potential threat to the children's health and safety

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101427(j) · Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date. This was not met as evidenced by: LPA observed that the facility is not always putting the current date on food items/containers The director stated that since they became aware that the items brought from home must always have the current date, the facility has began to add this date on the container. All staff know to do this. A written statement will be submitted to LPA confirming this information, by 12/23/22. brought from home. Names are indicated but dates are not always indicated. This presents a potential threat to the children's health and safety.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101428(c)(1) · The airtight container shall prevent the escape of fluids and odors and be portable enough to give to the authorized representative. This was not met as evidenced by: LPA observed that the facility is not always placing The director stated that since they became aware that soiled clothing/diapers must always be placed in an airtight container preventing the escape of fluids/odors, the facility has bgan always placing these in correct containers. All staff know to do this. A written statement will be submitted to LPA confirming this information, by 12/23/22. soiled diapers/clothing in an airtight container preventing the excape of fluids/odors. This presents a potential threat to the children's health and safety.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.